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January 2023 - July 1883

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June 28, 2022,Vol 327,No. 24,Pages2371-2464

在这期的《美国医学协会杂志》上

Audio Highlights

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JAMA. 2022;327(24):e2117023. doi:10.1001/jama.2021.17023
Original Investigation

Effect of Intraoperative Handovers of Anesthesia Care on Mortality, Readmission, or Postoperative Complications Among Adults:The HandiCAP Randomized Clinical Trial

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JAMA. 2022;327(24):2403-2412. doi:10.1001/jama.2022.9451

This randomized trial tested whether intraoperative handovers of care from one clinician to another compared with no handover affected a postoperative composite of all-cause mortality, hospital readmission, and serious complications.

Effect of Electronic Symptom Monitoring on Patient-Reported Outcomes Among Patients With Metastatic Cancer:A Randomized Clinical Trial

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JAMA. 2022;327(24):2413-2422. doi:10.1001/jama.2022.9265

This randomized clinical trial assesses the effect of using weekly electronic patient-reported outcome surveys to monitor symptoms, compared with usual care, on physical function, symptom control, and health-related quality of life among patients receiving treatment for metastatic cancer.

Association of Bariatric Surgery With Cancer Risk and Mortality in Adults With Obesity

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JAMA. 2022;327(24):2423-2433. doi:10.1001/jama.2022.9009

This matched cohort study investigates whether bariatric surgery is associated with lower cancer risk and mortality in adult patients with a body mass index of 35 or greater who underwent bariatric surgery at a US health system between 2004 and 2017 vs those who did not undergo surgery for their obesity.

Research Letter

Racial and Ethnic Differences in Resident Selection in 11 Specialties, 2013-2018

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JAMA. 2022;327(24):2450-2452. doi:10.1001/jama.2022.6424

This study compares the racial and ethnic representation of applicants and matched residents from competitive US medical and surgical specialty programs between 2013 and 2018.

Severity and Incidence of Multisystem Inflammatory Syndrome in Children During 3 SARS-CoV-2 Pandemic Waves in Israel

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JAMA. 2022;327(24):2452-2454. doi:10.1001/jama.2022.8025

This study examines outcomes of multisystem inflammatory syndrome in children during the Alpha, Delta, and Omicron variant waves of the COVID-19 pandemic in Israel.

Viewpoint

COVID-19 in 2022—The Beginning of the End or the End of the Beginning?

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JAMA. 2022;327(24):2389-2390. doi:10.1001/jama.2022.9655

This Viewpoint discusses how variants and subvariants of SARS-CoV-2 will affect the continually changing COVID-19 pandemic and the ways in which the spread of COVID-19 can be controlled.

Diagnostic Excellence

Diagnostic Excellence and Patient Safety:Strategies and Opportunities

Abstract Full Text
JAMA. 2022;327(24):2391-2392. doi:10.1001/jama.2022.9629

This Viewpoint examines diagnostic safety issues in various clinical scenarios across the care continuum, with selected examples illustrating successful strategies for improvement.

Medicare Advantage Enrollment Growth:Implications for the US Health Care System

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JAMA. 2022;327(24):2393-2394. doi:10.1001/jama.2022.8288

This Viewpoint discusses the enrollment decline in traditional Medicare and the enrollment increase in Medicare Advantage and examines the challenges this shift will have on the Medicare program.

A Piece of My Mind

15 Weeks and 4 Days

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JAMA. 2022;327(24):2395-2396. doi:10.1001/jama.2022.10006

In this narrative medicine essay, a primary physician reports how the so-called code of professional medical conduct should not preclude self-care and tracks when she began denying her needs—in the college library studying and through her medical education and training.

Editorial

Seeking Clarity About Intraoperative Anesthesia Patient Handovers

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JAMA. 2022;327(24):2397-2399. doi:10.1001/jama.2022.9437

Bariatric Surgery and Cancer Risk

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JAMA. 2022;327(24):2400-2402. doi:10.1001/jama.2022.9166
Review

Common Hand Conditions:A Review

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JAMA. 2022;327(24):2434-2445. doi:10.1001/jama.2022.8481

This Review summarizes problems with the hands, wrists, and fingers that are commonly encountered in primary care, including carpal tunnel syndrome and arthritis, among others, and offers a range of treatment options for each.

JAMA Insights

Women's Health

Medication for Early Pregnancy Termination

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JAMA. 2022;327(24):2446-2447. doi:10.1001/jama.2022.6344

This JAMA Insights discusses medication for early pregnancy termination, including contraindications, safety, and efficacy.

JAMA Clinical Challenge

A Patient With Jaundice and Malaise

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JAMA. 2022;327(24):2448-2449. doi:10.1001/jama.2022.8384

A woman with a history of intravenous heroin use and chronic inactive hepatitis B virus infection had sudden onset of painless jaundice and malaise. Vital signs, mentation, and physical examination were normal except for scleral icterus; she reported no history of travel outside the US and no raw meat ingestion; aminotransferase and bilirubin levels were newly elevated, but she had no acute hepatitis A or C virus infection. What is the diagnosis and what would you do next?

Medical News & Perspectives

From Positive to Negative to Positive Again—The Mystery of Why COVID-19 Rebounds in Some Patients Who Take Paxlovid

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JAMA. 2022;327(24):2380-2382. doi:10.1001/jama.2022.9925

This Medical News feature examines the unexpected phenomenon of symptoms and positive test results recurring in Paxlovid users who’d a few days earlier felt fine and tested negative.

American Thoracic Society 2022 Conference Highlights

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JAMA. 2022;327(24):2383-2384. doi:10.1001/jama.2022.8598

This Medical News feature discusses research presented at the recent ATS 2022 International Conference in San Francisco.

News From the Centers for Disease Control and Prevention

Hypertensive Disorders in Pregnancy Are on the Rise

Abstract Full Text
JAMA. 2022;327(24):2387. doi:10.1001/jama.2022.9510

Gabapentin Increasingly Implicated in Overdose Deaths

Abstract Full Text
JAMA. 2022;327(24):2387. doi:10.1001/jama.2022.10100
临床cal Trials Update

Mediterranean Diet vs Low-fat Diet for Patients With Heart Disease

Abstract Full Text
JAMA. 2022;327(24):2386. doi:10.1001/jama.2022.9509

Lifestyle Intervention Improves Frail Older Adults’ Mobility

Abstract Full Text
JAMA. 2022;327(24):2386. doi:10.1001/jama.2022.10376

Single-Dose Clindamycin Gel Highly Effective for Bacterial Vaginosis

Abstract Full Text
JAMA. 2022;327(24):2386. doi:10.1001/jama.2022.10377

Oral Baricitinib Restores Hair Loss in Alopecia Areata

Abstract Full Text
JAMA. 2022;327(24):2386. doi:10.1001/jama.2022.10378
Health Agencies Update

HHS Initiative to Reduce Health Risks of Climate-Related Hazards

Abstract Full Text
JAMA. 2022;327(24):2385. doi:10.1001/jama.2022.9900

New Maternal Mental Health Hotline

Abstract Full Text
JAMA. 2022;327(24):2385. doi:10.1001/jama.2022.10475

Health Care for Urban American Indian and Alaska Native Populations

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JAMA. 2022;327(24):2385. doi:10.1001/jama.2022.10476
The Arts and Medicine

JAMA’s The Arts and Medicine Section at 5 Years—Progress and Opportunities

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JAMA. 2022;327(24):2378-2379. doi:10.1001/jama.2022.10105

In this essay, the Arts and Medicine editor reviews features in the section over the past 5 years, covering visual arts, culture, design, performance, history, and more, and offers welcome to future contributions.

Poetry and Medicine

Four Wounds and Warm Bread

Abstract Full Text
JAMA. 2022;327(24):2459. doi:10.1001/jama.2022.6596
JAMA Revisited

The Watch and the Pulse Rate

Abstract Full Text
JAMA. 2022;327(24):2460. doi:10.1001/jama.2021.17024
JAMA Patient Page

Oral Antiviral Medications for COVID-19

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JAMA. 2022;327(24):2464. doi:10.1001/jama.2022.6876

This JAMA Patient Page describes 2 new oral antiviral medications that are available for patients with mild to moderate COVID-19 who are not hospitalized but are at high risk of developing severe disease.

Comment & Response

Characteristics and Outcomes of Patients With COVID-19–Associated ARDS Who Underwent Lung Transplant

Abstract Full Text
JAMA. 2022;327(24):2454. doi:10.1001/jama.2022.6634

Characteristics and Outcomes of Patients With COVID-19–Associated ARDS Who Underwent Lung Transplant—Reply

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JAMA. 2022;327(24):2454-2455. doi:10.1001/jama.2022.6637

Intra-arterial Alteplase vs Placebo After Successful Thrombectomy and Functional Outcomes in Patients With Large Vessel Occlusion Acute Ischemic Stroke

Abstract Full Text
JAMA. 2022;327(24):2455-2456. doi:10.1001/jama.2022.7427

Intra-arterial Alteplase vs Placebo After Successful Thrombectomy and Functional Outcomes in Patients With Large Vessel Occlusion Acute Ischemic Stroke—Reply

Abstract Full Text
JAMA. 2022;327(24):2456. doi:10.1001/jama.2022.7430

The Concept of Transient Ischemic Attack

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JAMA. 2022;327(24):2456-2457. doi:10.1001/jama.2022.7627

The Concept of Transient Ischemic Attack—Reply

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JAMA. 2022;327(24):2457. doi:10.1001/jama.2022.7630
JAMA Masthead

JAMA

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JAMA. 2022;327(24):2371-2372. doi:10.1001/jama.2021.17021
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